Getting to Action

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• Getting to Action
• Engaging Your Staff

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Engage

• Engrossed in an activity
• Immerse, interest, involve
• Participate, pitch in, take part
• Absorb, captivate, enthral
• Greatly interested.
• Rogets Thesaurus

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Whats the problem?

• Disengagement withheld effort, lateness,
  absence and turnover.
• Accounts for a loss of 17 of annual income in
  mid-sized companies.
• Gallup Employee Engagement Index indicates up to
  70 of employees are disengaged.

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Whats the problem?

• In Healthcare settings
• A direct linkage exists between employee
  engagement and workers' compensation claims.
• Workgroups in the bottom 50 of engaged employees
  experienced accident rates nearly three times
  higher than that of workgroups in the top 50.

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Whats the problem?

• In Healthcare Settings
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• There is a significant correlation over time
  between employee engagement and patient
  satisfaction.
• More specifically, employee engagement seems to
  influence patient satisfaction over time not
  vice versa implying that improving employee
  engagement can help hospitals improve patient
  satisfaction.

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Whats the problem?

• Managerial occupations will be thehardest hit by
  the baby-boomer retirement.
• Health care is particularly vulnerable has a
  higher proportion of professionalswith
  requirements for greater experience and higher
  levels of education.
• Health care professionals are about 5 years older
  than those in other industries with high
  educational requirements.

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Whats the reward?

• When employees feel engaged they are 43 more
  productive than those who are not.
• Engaging work systems generate 3,800 more profit
  per employee and produce 200 million additional
  revenue per year than other work systems.

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Whats the reward?

• Healthcare organizations with higher employee
  engagement experience

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• Lower mortality and complication index.
• Reduced nosocomial infections.
• Improved patient satisfaction.
• Improved financial performance.

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What is an engaged employee?

• Engaged Employees are builders.
• They want to know the
• expectations for their role so they can meet and
  exceed them.
• They perform at consistently high levels.
• They want to use their talents at work every day.

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The three drivers

• Leadership Strategic Direction

Rewards
Communications
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What about the others?

• Not Engaged.
• Arent necessarily negative or positive.
• Have a wait and see attitude.
• Hang back from becoming engaged dont commit.

• Actively Disengaged.
• The cave dwellers.
• Consistently against virtually everything.
• Theyre not just unhappy at work theyre busy
  acting out their unhappiness.

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Who are your employees?
 
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Barriers to engagement
FEAR Managers insecure want control. Managers
afraid employees would make a bad
decision. Employees hesitant to act outside of
prescribed boundaries.
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Barriers to engagement

• FLOW OF INFORMATION
• Within across departments.
• From management to frontline employees.
• From the front line back to management.
• Employees ability to ASSIMILATE information or
  to use it effectively.
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Barriers to engagement

• IMPACT OF MANAGERS
• New British research.

• More than four out of 10 Managers actually have
  a destructive effect and create a morale-sapping,
  demotivating climate.

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Impact of Managers
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Why engage environmentally?

• RECRUITMENT AND RETENTION
• A third of respondents in a recent survey stated
  working for a "green" company would be a factor
  in choosing a job.
• Job seekers under the age of 35 were the most
  interested in a company's environmental
  commitment.

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Why engage environmentally?

• Many health care professionals have a huge desire
  to make their facility as green as it can be.
• Know that there is a problem and are actually
  much more environmentally friendly at home than
  at work a disconnect.
• Leverage this desire into action will improve
  morale and feelings of a good place to work.

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Canadian Publics Views on the Future Negative
Health Impact From Specific Sources
Air pollution Water pollution Increased
greenhouse gases Using up our natural
resources Urban growth Contamination of
food Recalled manufactured products Counterfeit
medication
Q10. Do you believe that the negative health
impact from the following sources will become
more severe, less severe or about the same over
the next few years?
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Future Negative Health Impact From Water
Pollution, by Provider Group
Doctors Pharmacists Nurses Managers
Q6. Do you believe that the negative health
impact from the following sources will become
more severe, less severe or about the same over
the next few years? Water pollution.
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An opportunity for staff
To use other talents and abilities. To do
something different. To feel good about their
efforts.
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How to engage?

• First Know Whats Possible

Dont over-promise. Never commit to something
you arent able to deliver.
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How to engage?

• Then Challenge Your Employees

To use their talents. To come up with great
ideas. To develop ownership of their goals,
targets and milestones.
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Realize the power of one

• 350 acute bed hospital.
• Lead by the passion of ONE person in
  housekeeping.
• Established a recycling program.
• Reduced hospitals garbage by 56
• Recycling 220 tons in 6 months.
• Honoured with a (Local)Environmental Commitment
  Award for his efforts.

Bill is a perfect example of how one persons
passion can make an environmental, financial, and
moral impact on an organization.
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Use the power of others

• Staff listen most to
• Their colleagues
• Their immediate supervisor

Use your engaged employees to drive change.
Give staff the power and opportunity to convince
others.
Get away from a top down implementation.
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Always Use Clear Communication

• Staff must understand the environmental effects
  of their actions otherwise why change?

Firms that communicate effectively are 4.5 times
more likely to report high levels of employee
engagement versus firms that communicate less
effectively. Watson Wyatt
Meet people where they are on green issues
instead of making them come to your viewpoint.
Why does it matter to them? Why should they
care? We often forget the WIIFM
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Always Use Clear Communication

• Face to face meetings.
• Newsletter
• Provide tips and updates.
• Recognize staff achievements.
• Ask for ideas or feedback.
• Topics such as reducing paper usage and using
  glasses instead of bottled water.
• Intranet
• On equipment, fleet.

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External reaches internal

• In any engagement strategy talking to the outside
  helps.
• External communication reaches your staff too
  (besides your other stakeholders).
• News Releases
• Articles in the Trade Press
• Awards

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Modelling

• Model the behavior you want.
• Recycle your paper.
• Do not print out emails.
• Turn off your lights, your monitor and computer
  (if allowed).
• Dont arrive with a Tim Hortons in hand unless
  its a reusable cup.

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Its OK to Start Small

• Start just in your department.
• Start with something small (paper recycling).
• Simple posters re turn off the lights.
• Tips in the employee newsletter.

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Be Patient

• Change takes time.
• People are not as committed as you are.
• Bribing is OK.
• Figure out Whats their carrot?

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Bring in Other Benefits

• Team up with other areas that have a vested
  interest to get more support.
• Workplace Health Safety -
• Staff health.
• Housekeeping microfibre mops.
• Facilities Management energy savings.

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Try a project Thermometer Exchange

• Short, time intense.
• Worked across departments, 90 were front line
  staff.
• Had an external partner.
• Created lots of internal good feelings.
• Lots of positive external stories in the media.

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Try a project A Healing Garden

• One or two weekends
• Staff and local volunteers
• A local partner to donate plants
• Invite the local media

Positive feelings a wonderful place for staff
and patients to be outside
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Try a project A give back day

• Old furnishings and equipment (for example
  computers).
• Offered for free to low income community members.
  
• Partners could include organizations that work
  with the disenfranchised in your area.

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Set up a Green Team

• Get the right participation.
• Reps from a wide variety of departments
  (Environmental Services, Health Safety,
  Facilities Management, Purchasing, Nursing
  Medical Staff).
• Invite others on as needed basis.
• Ensure you have members with clout senior
  leaders.

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A note on recruiting staff

• Most participants serve on a volunteer basis
  Some are voluntold.
• Success finding the balance between staff who
  must participate (from key departments) versus
  those who want to participate.

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Set up a Green Team

• Dont forget change agents.
• Set clear goals and objectives.
• Evaluate the teams effectiveness.
• Main objective bring decision makers
  implementers together.
• Great resources on Practice Greenhealths website.

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Mercury An Easy Sell

• You may think that your facility or network is
  mercury free but a tour of your hospital might
  surprise you.
• Mercury is found in thermometers
  sphygmomanometers esophageal dilators
  certain laboratory chemicals, medical
  batteries cleaning solutions fluorescent
  lamps thermostats pressure gauges and
  electrical switches.
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• Document Manage ReplaceRecycle Keep it Out

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Use a Pilot

• Identify where the pilot will be implemented.  
• Determine your evaluation criteria.
• Determine how you will solicit ongoing feedback.
• Determine your time frame.

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Sometimes you need

• A (big) stick
• Does it have to become policy? (mercury, ETO)
• Can you help with any internal towers?
• To come in by the back door
• Reduce costs through reducing waste
  increasing recycling or proper waste segregation

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Recognize and Reward

• Personal Rewards
• A simple thank you
• Green training
• Conferences (EcoCare 2009)
• Group Rewards
• Parties, group events
• External Rewards
• Practice Greenhealth Awards
• OHA awards
• Local awards

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Get Competitive

• Harness the competitive spirit of your
  colleagues.
• Creates excitement, recognizes engaged employees
  and builds momentum.

• Practice Greenhealth Annual Awards
• Canadian Coalition for Green Healthcare
• Ontario Hospitals Association
• Net Impacts Green Challenge

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Other ideas

• Staff orientation
• Invite them immediately to get involved
• Provide different options for participation.
• Provide seed funding to cover capital costs.
• Work with your vendors.
• Get involved in regional green teams.

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Time for Strategic Planning

• WHO
• WHAT
• HOW
• COMMIT

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The Patient Safety Barrier

• One of the first barriers you may experience.
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• Make clear that infection risks are of paramount
  importance, but many green products and processes
  have little or no impact on infection control.
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• In fact, many reduce the toxins in our
  environment, improve indoor air quality, reduce
  staff injury and improve staff and patient
  well-being.

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The Patient Safety Barrier

• Be Clear that Patient Safety comes first.
• Work with the Infection Control Team.
• Start by Introducing Alternatives that have no
  infection control impact.
• Use Staff Safety to Your Advantage.
• Choose Registered Products.
• Not all areas require the same chemicals.        
   
• Use pilots to introduce and test new products or
  procedures.

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Information Package

• PGHs Creating an Effective Green Team
• Communication Planning
• Green Tips Of The Month
• Sample Posters
• Sample News Release
• Physician Brochure
• Info On Who Your Employees Are

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More Information to Help You
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Questions, Comments?

• Aura Rose
• President, Healthwise Communications
• 1 800 636 9098
• aurarose_at_healthwisecommunications.com

Thank You!